Develop tools and internal capabilities to measure the performance of value-based / shared-savings arrangements and communicate valuable insights to key stakeholders
Collaborate with the Business Development team to evaluate new business opportunities
Collaborate with Imagine Pediatrics’ clinical team to evaluate patient attribution algorithms
Apply knowledge of Medicaid reimbursement components and healthcare claims data to assist with the development and ongoing execution of cost and revenue forecasting models
Partner with the Healthcare Economics team to demonstrate value our clients achieve with Imagine through the reporting of revenue / risk score trends, healthcare utilization trends, IBNR, and financial savings
Analyze profitability by duration, acuity, and resource allocation to inform strategic recommendations to senior leadership
Work closely with other finance teams to monitor performance against forecasts, analyzing and explaining drivers of variances from revenue, cost, and membership

Requirements

Associate or working towards Associate of the Society of Actuaries with 3+ completed exams
Bachelor’s degree
Minimum of 2-4 years of actuarial experience within a healthcare, managed care, or consulting organization
Medicaid experience preferred
Experience with value-based reimbursement strategies and affordability initiatives preferred
SQL and/or SAS skills strongly preferred
Experience working with CMS T-MSIS data preferred
Ability to work both independently and collaboratively in a dynamic and fast-paced environment
Demonstrated ability to think critically and solve complex, varied problems in a dynamic environment
Strong communicator (both written and verbal) with an ability to break down complex and technical concepts in an easy to understand way
Strong organizational, documentation and problem-solving skills
Strong business acumen and interpersonal skills

Benefits

Competitive medical, dental, and vision insurance
Healthcare and Dependent Care FSA; Company-funded HSA
401(k) with 4% match, vested 100% from day one
Employer-paid short and long-term disability
Life insurance at 1x annual salary
20 days PTO + 10 Company Holidays & 2 Floating Holidays
Paid new parent leave
Additional benefits to be detailed in offer

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

SQLSASactuarial experiencecost forecasting modelsrevenue forecasting modelsdata analysispatient attribution algorithmsvalue-based reimbursement strategieshealthcare claims datafinancial savings analysis

Soft Skills

critical thinkingproblem-solvingcommunicationorganizational skillsinterpersonal skillscollaborationindependenceadaptabilitydocumentationbusiness acumen

Certifications

Associate of the Society of Actuaries